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行为测听法在儿童主观听力评估中的应用

[Application of behavioral audiometry in subjective hearing assessment of children].

作者信息

Chen Guohui, Ding Haina, Shi Wei, Xie Linyi, Xiong Fen, Lan Lan, Zhang Jiao, Wang Qiuju

机构信息

Department of Otolaryngology Head and Neck Surgery,the First Medical Center of Chinese PLA General Hospital,Beijing,100853,China.

Department of Audiology and Vestibular Medicine,Institute of Otolaryngology,Senior Department of Otolaryngology Head and Neck Surgery,the Sixth Medical Center of Chinese PLA General Hospital,National Clinical Research Center for Otolaryngologic Diseases.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Mar;37(3):173-176. doi: 10.13201/j.issn.2096-7993.2023.03.003.

Abstract

To explore the value and influencing factors of behavioral audiometry in subjective hearing assessment of children. The results of behavioral audiometry(visual reinforcement audiometry or play audiometry) of 1944 children(3888 ears) in the outpatient department from January 2012 to December 2015 were retrospectively analyzed. The subjective performance(" good ", "moderate", "poor", " unfinished ") was compared according to age and hearing level. SPSS 27.0 software was used for statistical analysis. The subjective performance of children was "good" in 2791 ears(71.8%), "moderate" in 411 ears(10.6%), "poor" in 309 ears(7.9%) and " unfinished " in 377 ears(9.7%). In visual reinforcement audiometry, the proportion of children who subjectively performed as "good" gradually increased with age, reaching the peak at 2 years old, and decreased with age after 2 years old. In play audiometry, the proportion of children who subjectively performed as "good" gradually increased with age, peaking at 4-5 years of age. The children who did not finish the test were mainly 1-3 years old. The reasons included uncooperation for 148 ears, crying for 95 ears, refusing to wear headphones for 57 ears, fatigue for 42 ears, lack of interest for 20 ears, not understanding for 14 ears, and distraction for 1 ear. Behavioral audiometry was helpful to assess children's subjective hearing, and children's subjective performance was good. In clinical work, more novel and attractive test materials and methods should be adopted or developed according to the physical and mental characteristics of young children.

摘要

探讨行为测听在儿童主观听力评估中的价值及影响因素。回顾性分析2012年1月至2015年12月门诊1944例儿童(3888耳)行为测听(视觉强化测听或游戏测听)结果。根据年龄和听力水平比较主观表现(“好”“中”“差”“未完成”)。采用SPSS 27.0软件进行统计分析。儿童主观表现为“好”的有2791耳(71.8%),“中”的有411耳(10.6%),“差”的有309耳(7.9%),“未完成”的有377耳(9.7%)。在视觉强化测听中,主观表现为“好”的儿童比例随年龄逐渐增加,2岁时达到峰值,2岁后随年龄下降。在游戏测听中,主观表现为“好”的儿童比例随年龄逐渐增加,4 - 5岁时达到峰值。未完成测试的儿童主要为1 - 3岁。原因包括不合作148耳、哭闹95耳、拒绝戴耳机57耳、疲劳42耳、缺乏兴趣20耳、不理解14耳、分心1耳。行为测听有助于评估儿童主观听力,且儿童主观表现良好。在临床工作中,应根据幼儿身心特点采用或研发更新颖、更具吸引力的测试材料和方法。

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